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1740 Brant CirParcel Files Cover Sheet Unique ID: 2139 1740 Brant Cir 104725302002 ?P Knob Road NWiib ;MQ nesota 55.1221007 Date Issued: 2).6514875 S SSc 4 w ... APPLICANT: .1148 # R AN'T C I R "C o o NiM, t (i:IN S I INC NA8tARI PARK 4rll (612) R.Al-M i PEfMT SUBTYPE: TYPE OF IUORK: idt'ti -s F OUR oQn Nt s FOUNDATION AKIN it IROOF IN(, ?!; sw:A1 xnN f if] RE, PI.At' rnroti IN Yt Hsi. _? Ra ti?ti iN ti"Sto S , ;" k THAI INA{ . t "Cl Tdiphoft 0 ;uWING Kx. HVAC hope t . ? b FOOTINGS rd'ig1 . FOUND FRAMING ROOFING ROUGH PLUMBING AT AIR I RO HEAG GAS TEST SVC INSUL GYP BOARD FIREPLACE AIR TEST E 117 ?w . FINAL PLBG FINAL HTG i r-7 ORSAT TEST BLDG FIDtAL o d DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVr1V TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL t c ti cafe of tccu4mtc? #? of pagan c4Jnthncnt of s$ailb,u Z n?pcction This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at, the time of issuance this structure was in compliance with the various ordinances 9f the City regulating building ` construction or use. Forthe following: Use Classification: SF DWG ,slag. Peniit No. 33233 Occupancy Type P3 Zoning District R! Type Cons[. VN owner of Saluting MC O1NALD (21ST Auures 7601 1451H ST W, APPLE VALLEY Building Add.,, 1740 BENT CIRCLE t?caliry L2, B2, MATI,ARD PARK 4TH Building Offi?W / )-"- POST IN A CONSPICUOUS PLACE Address 1740 BRANT CI..RaE Zip 5512 d!.ot 2 Bik 2 Sub MAT T.ARn PARK z ,-m THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: ?LO Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass f4. - Trail/curb damage , Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Remodel/Repair Requirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate if on-site septic system Office Use Only Cert of Survey Real Y _ N Tree Pres Plan Recd _ Y _ N. Tree Pres Required _ Y _ N On-site Septic System _ Y _ N Date 7 106 Construction Cost Site Address / 7Z ,Bk°i Al i C JA' CC 14 #tY !yI TV Unit/Ste # Description of Work )c C k- Multi-Family Bldg - Y x N Fireplace(s) - 0 - 1 - 2 Property Owner ?p F I? 191'/ S 1 "(6 K6 Telephone # (G S/) 688 - ()23 Contractor a f Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet 0 submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # Telephone # Telephone # I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved planin the case of work which requires a review and approval of plans. S, i NCz ?.9???J/ /d Z-c Applicant' rinted Name Applicant's K?gdature DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ,1 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage Valuation Ol/O Plan Review 100% or Census Code SAC Units # of Units # of Bldgs Type of Const _ Footings (new bldg) Footings (deck) Footings (addition) _ Foundation Drain Tile Roof _ Ice & Water Framing Yes 25% Final Fireplace _ R.I. -Air Test -Final Insulation Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS Sheetrock Final/C.O. _C Final/No C.O. HVAC Other _ Pool _ Ftgs _ Siding _ Stucco Lath Windows Retaining Wall Approved By: f? ( Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total AivUas tests _ rmai Stone Lath Brick ,210 70- bh: Ll Ubbb-«.- 1IIV %Sb /?4' PIONEER (?CeTtificate -01 7I 941(13 I LAND JURVETURS • CML ENGINEERS LAND PLANNERS. LANDSCAPE ARCMTECTS 2422 Enterprise Drive Mendota Heights. MN 55120 (612) 681-1914 FAX:681-9488 625 Highway 10 N.E. Blaine. MN 55434 (612) 783-1880 FAX:783-1883 of Survey for: MCDONALD CONST. 1740 BRANT CIRCLE CLIENT-RANASINGHE 945.5 BENCH MARK GG / 946.1 TOP OF PIPE ELEV.?946.5 944.9 k '0 ?\ 5 E09 049.5 N CE, ti V ALP - NjZJ / ?CF' O?& 945. / ",? Q ? g• 945.7? -AA ? ??b¢:32.34 s BENCH MARK TOP OF PIPE ELEV.=942.30' v /I I/ 0 or 942.4 EXISTING HOUSE U? !I r ...-.r 73 L;.- AM 1 i 0 A-11 _MQPSEO SEE AY ON NOTE; PROPOSED GRADES SHOWN PER GRADING PLAN BY: MFR LOWEST FLOOR ELEVATION: ?(,`?'- LOCATION NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL S AND VERTICAL AND TOP OF BLOCK ELEVATION: "/ 5-= FOOU T UCTNRO MENgONS.EE ARCHITECTUAL PLANS FOR BUILDING q GARAGE SLAB ELEVATION: G`t--I NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPUTED PE THIS LOT BY THE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE ELEVATION PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. x 000.00 DENOTES EXISTING t 000.00) DENOTES PROPOSED ELEVATION NOTE: HQESHUWN TOOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN THE RECORDED PLAT. DENOTES DRAINAGE AND UTILITY EASEMENT 1+~ DENOTES DRAINAGE FLOW DIRECTION NOTE; CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. DENOTES MONO EMUB NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM U-- DENOTES OFFSET AND CORRECT REPRESENTA'IIUN OF A WE HEREBY CERTIFY MMONALD CONST. THAT THIS IS A TRUE SURVEY OF THE BOUNDARIES 4TH ADDITION UNDER MY DIRECT SUPERVISION THIS 2 LOT 2, BLOCK 2, MALLARD PARK U NTS. EXCEP DAKOTA COUNTY, MINNESOTA NOT PURPORT TO SHOW IMPROVEMENTS AUGUST. A998E DAY OF OR DOES ?? SCALE : 1 INCH = 30 FEET I B AS SURVEYED BY ME OR )NEER ENCI EERINO. A. Rtq N2. 1982E Orson, L.S. ,1. r a a U I' flirt Wrl F,:li 9RRi-TF-`1f1H 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 tC -3"l -U y- New Construction Requirements RemodellRecair Requirements Offt i QeOnlr 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert 9f StmmyRecd _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree PieaPlart Rood _Y -N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tr o P* Regtiaed _Y N 1 set of Energy Calculations Addition - indicate if on-site septic system Or-me Septic System Y _N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail options selection sheet (bldgs with 3 or less units Date / s / 0!!? Construction Cost Site Address 1 740 6k,4Af % C/A , C -1460W, n4X SS/a 0-- Unit/Ste # Description of Work ` CC k + "jD Multi-Family Bldg _ Y )C N Fireplace(s) - 0 - 1 - 2 Property Owner 'SOS E P AN fiS//VG ye Telephone # (6S/) 6 8 8 -9 HA R NC z ,v s /WG KC Contractor SE-L P Address City State - Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (-4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. I Licensed Plumber Im a 11721 1 ll !J I ? II Telephone # ( Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. S 4 /VC 2- aCeeln''o-9 Applicant's Printed Name Applicant' gnature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex X 18 Deck 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 1 0-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding X 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) -Give'PL<A b'bndout '8pplicant -0 ( Valuation 1/00 Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. Footings (deck) .r ( Z- 4 2Q Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation _ HVAC Drain Tile Other _ Roof - Ice & Water - Final _ Pool _ Ftgs _ Air/Gas Tests _ Final ' Framing _ Siding _ Stucco r Stone - Brick - Fireplace _ R.I. -Air Test - Final _ Windows - Insulation _ Retaining Wall Approved By: / 2= , Building Inspector Base Fee 2 • ?S? n Surcharge Plan Review / ??? MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant a-vo License Search Copies Other Total C0 C7 Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. bb : 6 l bbb I- I, z-uI IV %Sb j* * .rx PIONEER LAND SURVE- IS - CML ENGIIEERS_•--•?- LANO PLANNERS- LANDSCAPE AACNIIECis 2422 Enterprise Drive Mendoto Heights. MN 55120 (612) 681-1914 FAX:681-9488 625 Highway 10 N.E. Blaine. MN 55434 (612) 783-1880 FAX:783-1883 Certificate of Survey for: MCDONALD CONST. 1740 GRANT CIRCLE CLIENT-RANASINGHE /941.4 I? I 945.5 ' .-BENCH MARK 946.1 TOP . PIPE ,' ELEV..-946.51 944.9 0'49.5 / ?OQyrc? 945. o 9- 945.7p(? j 9 944.2 94 l??ll ?'34+;p BENCH MARK ELEV. 942 30'," % V /I I/ l0 ?ti 942.4 IL All rrT: ? .° o e o tI ?• ae:.-? ?...y 1R\1 ?(G POSED S£ E yLTIN NOTE; PROPOSED GRADES SHOWN PER GRADING PLAN BY: MFR LOWEST FLOOR ELEVATION: PLANS FOR BUILDING NO NOTE: BUILDING DIMENSIONS SHOWN ARC FOR HORIZONTAL FOR AND LD NGAA LOCATION OF BLOCK ELEVATION: OF STRUCTURES ONLY. SEE ARCHITECTUAL TOP FOUNDATION DIMENSIONS. GARAGE SLAB ELEVATION: NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLtTEO ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE x ELEVATION PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. 000.00 DENOTES EXISTING ELEvATION OTHER THAN t 000.00 ) DENOTES PROPOSED EASEMENT EVATION THE RECORDED PLAT. = DENOTES DRAINAGE AND UTILITY NOTE MOSS ESMt wCN T DOES NOT PURPORT TO SOW EASEMENTS DENOTES DRAINAGE FLOW DIRECTION NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. DENOTES MONUMEINT ?- NOTE; BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM DENOTES OFFSET AND CORRECT REPRESENTA'IIUN OF A WE HEREBY CERTIFY NOARES OFLD CONST. THAT THIS IS A TRUE SURVEY OF THE BOUNDARIES ---I w -rU ennil ION LOT 2. BLOCK 2. MALLNnv r - - - DAKOTA COUNTY, MINNESOTA NOT PURPORT TO SHOW IMPROVE pNAY OP AUGUST, ACHM NTS. EXCEPT A DOES S U NED: UNDER MY DIRECT SUPERVISION THIS 26 SCALE - 1 INCH = 30 FEET I BY` AS SURVEYED BY ME OR EER ENGI EERING• A LS, NI, (1Sr{ ?? fb:U RRRi-«-ffl RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Reauirements RemodeUReoai Requirements 3 registered site surveys showing sq. ft of lot, sq. ft of house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site sunny for additions & decks 1 set of Energy Calculations Addition - indicate if on-site septic system 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail options selection sheet (bldgs with 3 or less units -IV, Office Use Only - Cert of Survey Recd -Tree Pros Plan Recd _ Tree Pres Not Reqd - On-site Septic System Date / / Construction Cost Site Address /740 )9IP,9 N % CI P- F'/j 6-)Lj-hfni /V .9S /02-2 Unit/Ste # Description of Work F'Cc)/S /)i n s Qnt Multi-Family Bldg _ Y f/N Fireplace(s) _ 0 - 1 - 2 Property Owner -_ j 0$ E to k4 R,4 Nq S //a` G /I C Telephone # (6 S /) 6 ef$ - (0.2-2 ?} Contractor A Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Residential Ventilation Category 1 Worksheet Code Worksheet (J submission type) Submitted F2phMEnergy Envelope Calculations Submitted Licensed Plumber ne #( 2003 Mechanical Contractor Sewer/Water Contractor Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 3o?EPf RA?>g s,r/? ? Applicant's Printed Name Applicant's Sign e OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex 'V( 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg i or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair IV' 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation 9.10 ®4d? Occupancy - - MC/ES System Census Code Zoning 1 Z % City Water SAC Units Stories Booster Pump Nbr. of Units O Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const ZA[ Width REQUIRED INSPECTIONS - Footings (new bldg) Final/C.O. - Footings (deck) Final/No C.O. - Footings (addition) Plumbing _ Foundation HVAC Drain Tile Other Roof Ice & Water Final Ftgs Air/Gas Tests Pool Final 2( Framing _ _ _ _ _ Siding _ Stucco - Stone - Fireplace R.I. Air Test Final Windows (new/replacement) _ - 21 Insulation - _ _ Retaining Wall Approved By f7 P S- S.6 3 , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total _50 PLUMBING (RESIDENTIAL) Permit Application 5) City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date / / Site Address / 7It D ?ie 19 0 *7 C l ( M-4/V Al N S. /a. Unit # Property Owner 1 O 5E PM IQ 14 N A S I N ?9 -r Telephone # ((,S 6 8 - O 9_3 Contractor Address City State Zip Telephone # ( ) The Applicant is Owner Contractor Other Septic System _ New - Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alteratio s To Existing Dwelling Unit, Including $ 50.00 Adding fixtures to lower levels or room additions, excluding water softener and water heater Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed - $121.00) Other: - RPZ _ new installation _ repair _ rebuild $ 30.00 Lawn irrigation system Water softener Water heater - - $ 15.00 replacement _ additional State Surcharge $ .50 Total $ w I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans: Applicant's Printed Name Applicant's Si ure ?pF /P'M?P'TfWM/A TTJ1?T???'?`•'-?PTTK'??/PfP/PM?°?`T/PR???RaA?/P CITY OF EAGAN CASHIER: S TERMINAL NO: 770 DATE: 03/17/38 TIME: 13203:33 It': NAME: MCDONALD CONSTRUCTION INC- ?256 9001 1740 BRANT CIR 59042.71 Total Receipt Aff,ouunt: 57042.71 CRO9 7 438 USER It': NANCY CITY OF EAGAN 3830 PiIcq? Knob Road Eagan, Nfinnesota 55122-1897 (612) 381-4675 Building Permit Type Building Work Type UBC Occupancy Construction Type Zoning Building Length Building Width Building stories Square Feet Census Code PERMIT TYPE: B U I L D I N G Permit Number: 0 3 3 2 3 3 Date Issued: 0 9 / 17 / 9 8 SITE ADDRESS: 1740 BRANT CIR LOT: 2 BLOCK: 2 MALLARD PARK 4TH P.I.N.: 10-47253-020-02 DESCRIPTION: S F DWG NEW R-3 VN R-1 54 34 2 5,513 101 1 - FAM. DETACH REMARKS: PLAN REVIEWED BY CRAIG NOVACZYK. S & W IS STAR PLUMBING PHONE #884-4149. PRV REQUIRED. FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUATION PERMIT $1,422.25 $924.46 $103.50 $1,000.00 100 1 $3,450.21 $207,000 MISC. FEES $1.592.50 Total Fee $5,042.71 CONTRACTOR: - Applicant - ST. L I C . OWNER: MPOONALD CONST INC 14327601 0002376 MCDONALD CONSTRUCTION 7601 145TH ST W 7601 145TH ST W APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (`612) 432-7601 (651)432-7601 L I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. V 7V APPLICANT/PERMITEE SIGNATURE ISSU Y: SIGNATURE J 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF RAGAN 3830 PILOT KNOB RD - 55122 681.4675 ? 3 registered arts surveys 2 copies of plans (include beam & window sizes; poured Md. design: etc.) ? 1 energy belowlstions ? 3 copies of tree plan tf platted aftr 7/1/93 roquitid: _Yes J_ No DATE: DESCRI ON OF WORK: S E E T ADDRESS: I?lft7__ LOT: BLOCK: SUBD.IP.I.D. #: it -1 I 1 -gFe ? 2 copies of plan ? 2 ails surveys (emerior ins & decks) ? 1 eneW C&bAagbft for Famed additloaa CONSTRUCTION COST; Ud___& T !t Name: Phone #: PROPERTY Last First OWNER Street Address: City State: Zip: Company: M r&-,'T Phone #: L69-2(,01 CONTRACTOR Street Address: 7(Zp ! / . S ( C(_ License # city M cj1 state: zip: S'S' fog 5/ ARCHITECT/ /l ? L j ENGINEER Company: A--( C l1 Phone M. 4 Name: ?J2 e d 117.ea.- ele Registration #• Street Address: 3 35 44824 ??? ?tC_•y.-G City C, ?yC C State: Zip: Swe pumbe(new owstruction only): 4 lUy when address dwig and kit change is requested once perm issued. ZS g tk _ qI q i hereby m0nowliscip that I have m d this app s and that the on wnwt and mWea to =749y with all applicabi State of Minnesota Statutes and City of Eagan Ordinances. A 11,4 Signature of Applicant: OFFICE USE Y V R t Ceffiftates of Survey Received Yes No Fv, Tree Preservation Plan Received __ Yes No Not Required BUILDING PERMIT TYPE ? 01 Foundation ? 08 Duplex *'02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 __-plex WORK TYPE 31 New Cl 33 Alterations C] 32 Addition ? 34 Repair' OFFICE USE ONLY ? 11 Apt.A odging CJ 16" S ent Finish ? 12 Mufti Repair/Rem. E ' 17, ftt"Vool 0 13 Garage! ory Cl 20 13 14 Fireplace D. 91 Miscellaneous ? 15 Deck ,0 38 Move ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth Basement sq. ft. A f..._.... Main level sq. .__. : sq. ft- d - sq. ft. sq. R. sq. ft. Footprint sq. ft. APPROVALS Planning Building r 3 r' MC/Vl:gystem ., ......, 7 ;3 W- ZV City' Water W Fire Sprk*WW (je PRV Booster Pump Census o / SAC Code CsnslYs Bldg. Census Unit Engineering _,. ., Variari ? Permit Fee Surcharge Plan Review License MCNVS SAC city SAC Water Conn. Water Meter Acct. Deposit SNV Pent SNV Surcharge Treatment Pi. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ,7?as FL, -7;i ?e d %S6 617:1,L 1?66I-IE-Oflti *PIONEER ene Weer LAND A,RVC.oRS • CIWt ENGMIERS LAND "NOS. LANDSCAPE ARCHITECTS 2422 Enterprise Drive Mendota Heights, MN 55120 (612) 681-1914 FAX:681-9488 625 Highway 10 N.E. Blaine. MN 55434 (612) 783-1880 FAX: 783-1883 Certificate of survey for: MCDONALD CONST. N'A /941.4 I 1740 BRANT CIRCLE CLIENT-RANASINGHE /5.5 G946.1 -BENCH MARK ?. TOP OF PIPE f: 944.9 ELEV.-946.51 ?p?/ ,\?,6• / \\ " 9(49.5 / / ?o \?? of 1 0 05 P{ ?• ? g?? 94? 0 •4' ?,V` 945.7 s. o• \ 20 . q ?. TG 944.2 J1 -ci 94 9 wl BENCH MARK TOP OF PIPE -, ELEV.=942.30 ED T- -Ij!A NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN By. MFR PROPOSED HOUSE ELEVATION NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION LOWEST FLOOR ELEVATION: Of STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND FOUNDATION DIMENSIONS. TOP OF BLOCK ELEVATION: y 5o I NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE G4Rt O SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE GARAGE SLAB ELEVATION: PROPOSED IS NOT THE RESPONSIBILITY Of THE SURVEYOR. NOTE: THIS CERTIFICATE ODES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 000.00 DENOTES EXISTING ELEVATION THOSE SHOWN ON THE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSED ELEVATION DENOTES DRAINAGE AND UTILITY EASEMENT NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. -e- DENOTES DRAINAGE FLOW DIRECTION NOTE; BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM - - DENOTES MONUMENT a DENOTES OFFSET HUB WE HEREBY CERTIFY TO MCDONALD CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTA'1ION OF A SURVEY OF THE BOUNDARIES OF: LOT 2, BLOCK 2, MALLARD PARK 4TH ADDITION DAKOTA COUNTY. MINNESOTA 11 DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS. EXCEPT AS UNDER MY DIRECT SUPERVISION THIS 26TH DAY OF AUGUST. 1998. S NED: SCALE : 1 INCH = 30 FEET or. IN, AS SURVEYED BY ME OR IONIZER ENGI EERINO, A. Loreon, L.S. Reg. N;-19828 ,51 942.4 10 'd F190999 Clad Wrl f,b: 1 T RRRT-TF-f 1)W r, ri 1 LOT SURVEY CHECKLIST FOR RESIDENTIAL • BUILDING PERMIT APPLICATION PROPERTY LEGAL: DATE OF SURVEY: LATEST REVISION: F y DOCUMENT STANDARDS a 22c a---'o ? • Registered Land Surveyor signature and company C-? ? • Building Permit Applicant S' o ? • Legal description 0"/Q ? • Address [ ' 1 ? • North arrow and scale 0 _p ? House type (rambler, walkout, split w/o, split entry, lookout, etc.) a' p ? • Directional drainage arrows with slope/gradient % ? • Proposed/existing sewer and water services & invert elevation ®' ? ? • Street name ? • Driveway ELEVATIONS ExIstina Q/g ? • Sewer service (or Proposed) ?/? ? • Property corners 0"" ? ? • Top of curb at the driveway Ell"' ? ? • Elevations of any existing adjacent homes Proposed e/ ? ? • Garage floor > ? • First floor : 0 ? • Lowest exposed elevation (walkout/window) J0" ? ? ? ? • Property corners Front and rear of home at the foundation ? Cv, ? • ? a' ? • ? C?r' ? • ? C'? • ? ? • ?" ? ? • ? ? • ? ? • O-' ? ? • er' ? Q • ? M-'? • PONDING AREA (if applicable) Easement line NWL HWL Pond # designation Emergency Overflow Elevation DIMENSIONS Lot lines/Bearings & dimensions Right-of-way and street width (to back of curb) Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) Show all easements of record and any City utilities within those easements Setbacks of proposed structure and sideyard setback of adjacent existing structures Retaining wall Reviewed: January 1996 CRAIG 19Q6I9LOGPR Mi. FM +? -• ??.» t .rJc?r1J ENERGY CODE WORKSHEET FOR 1 & 2 FAMILY DWELLINGS SITE ADDRESS A T SI, CITY COMPLETED BY ??Q f, Co??i 1, P)UONE N DATE BUILDING CLA39IFXCATXON: ? categ-021-1--le tan da rd) or Catego 2 lY (meter include vontilation MINIMUM CRITERIA Foundation Insulation-R10 Walla & Windows (See table on reverse side Roof Attic Insulaeiont Slab on Grade Insulation-Rio for allowable percentages) R44-With Attic No Neel Floor over unheated spaces-R24 R39-With Attic Raised Heel Foundation Windows 1/2" insulated Class. R38 & RS-Solid Rafters -Wood or vinyl Frame STEP 1 Window & Door Area A. Total Window & Door Area in Sq. Feet WINDOWS (Including Foundation Windows) WINDOW MANUFACTURE NAME1,,/.gEsTup4E. WINDOW MANUFACTURR TYPE-DS, 1 CS M 'T. WINDOW MANUFACTURE Q FACTOR: .154... R. O. Quantity sq.ft.AYea Dimensions X L - z ' X d ..1J l1? r 1 } X L N ?) ?lo"X5!V" 1 x 4! ?o" 47t1-111 ZL" X 3! v" 1 l;Zl-o X (??D" X X D7O1 /-,$ 1 ?s X (YO '? X CAS Total Area of Windows & Doors B. Total Wall Area in Sq. Ft. Wall Total Height Perimeter _7a fl ?CIV OL '7 5Z %%a Q Total Area of Walls SEP-09-1998 07 43 3Z-'7 13 1O 3Z.0-P 18 Zo .ft. Area 35? 3 7? -4 2 1 612 452 3659 STEP 2 Calculate area as a percent of wall C. From Step 1 divide box A (Window & Door Area) by box a (total wall area) times 100 equals the window and door area as a percent of wall area (box C) BOX A 1(? X 300 C = Box b 351, 14, 5 STEP 3 , Design Features ASSEMBLY FRAMING TYPE: STANDARD FRAMING- x _studc 16• o,c, ADVANCED FRAMING -_atude 24" o.c.' CAVITY INSULATION Rla-_ 9HSATHING TYPE: LESS THAN < R-5 1< R-5 > OR MORE U-FACTOR U From the table, (reverse determine the maximum percent window & door area for the design options selected and enter the t value in Box D below based on the window mfg. U- factor: D The t value from the table in Box D shall be equal to or greater (than the t in Box C P p-, ONE- & TWO-PAMMY RESIDENTIAL BUILDING PRESCRnnWl (COOK-HOOK) APPROACH MAXIMUM WINDOW AND DOOR AREA AS A PERCENT OF OVERALL WALL AREA , 11- UL7 v STANDARD R-17 STANDARD R-17 ADVANCED R-17 ADVANCED R-17 cR-S 11.9% R-5; 13.8-/• <R -5 12.6 s ? R - S 14.3% 15.7% 18.4% 18.4% ! 21.5% 16.6% 19.6% 19.0'Y. 22.2% 21.5% 25.0% 22.9% 25.7% Notes: Window area equals rough opening minus Installation clearances. Window U-factor must be determined by either the National Feneatratbn Rating Council standard 100-91, or ASHRAE 1993 Handbook of Fundamentals, Chapter 27, Table S. Po.t4r Fax Note 767 1 oM• r• SEP-09-1998 07 43 1 612 452 3659 0 TOTAL P.03 n M-' CITY USE ONLY L 45;L RECEIPT CLtC.?- #: (o ? S / RECEIPT DATE: 10 i 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF KAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower Water Closet /B 1DE7 3.00 3 00 x x _ 3,06, ,o b Bath Tub . 3.00 x .oil Lavatory 3.00 x _ /SAD Kitchen Sink 3.00 x _ , Oa Laundry Tray 3.00 x = 3. Hot Tub/Spa 3.00 x = Water Heater 3.00 x I = 3.0V Floor Drain 3.00 x I = 3•00 Gas Piping Outlet * minimum - 1 3.00 x = 3.00 Rough Openings 1.50 x __ _ Water Softener * for dwellings under construction 5.00 x = Water Softener * for existing dwelling 20.00 x = U.G. Sprinkler * for dwelling under const. 3.00 = U.G. Sprinkler * for existing dwelling 20.00 = Alterations * to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System * MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = STATE SURCHARGE . .50 TOTAL SG,v0 --------------------------------------------------------------------------------------------------------------------------------------------- Ihereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: OWNER NAME: INSTALLER NAME: A yurr_L /'"IEC?{,4i,YfCAC_ TELEPHONE #: 462 - STREET ADDRESS: ` CITY: LAC --41 ?, hd9k)1Ut RI) STATE,, /''(A.) ZIP: 5722 JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 SIGNATURE OF PERMITTEE RESIDENTIAL ?? BUILDING PERMIT APPLICATION CITY OF EAGAN VVV?vV/ 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE o Remodel/Repair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION 71-1 SITE ADDRESS 17 ( p U t c7 rCL? MULTI-FAMILY BLDG Y N _ TYPE OF WORK D - 5f Di .c> C FIREPLACE(S) - 0 - 1 - 2 APPLICANT ALL t-t?"??? 7 ( STREET ADDRESS TELEPHONE # 9?Z48'/42-32 CELL PHONE # - CITY ATE IP 5s3W FAX # PROPERTY OWNER _O-f_ 4,fjQ-Sfn!?-L TELEPHONE# r/- J&-023Y ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: _____ Plumbing system includes Mechanical Contractor: Mechanical system includes Sewer/Water Contractor: Water Softener Water Heater No. of Baths Air Conditioning Hcat Recovery System Phone # Lawn Sprinkler No. of R.I. Baths Phone # Fee: $90.00 sec: Phone # ----------------------------------------------------------------------------------------------------- --------- I hereby acknowledge that I have read this application, state that the information is correct, and ;5 e to ply with all applicable State of Minnesota Statutes and City of Eaganlrncr3s Signature of Applic OFFICE USE 0 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 1 0-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof Ice & W ater Final Pool _ Ftgs _ Air/Gas Tests _ Final - Framing _ Siding Stucco _ Stone Fireplace _ R.I. - Air Test - Final Windows (new/replacement) Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total , Building Inspector CITY USE ONLY S l Ktt 1 Alll)Kt S: d-\ CITY: JS/FORMS BLDIMECH PERMIT (RE'S) -1998 CITY USE ONLY Iv- imam j Permit #: ___. I I I I Permit Fee: Date Received: i t I Staff: ------------------ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: __ ?_ _. ,.- Site Address: -' Suite Tenant: RESIDENT I OWNER _ ?_ Name: Phone: --.-, - - -m _ __ 1 Zi : l Cit Add p y ress Applicant is: Owner Contractor (?F WORK TYPE f work: D i ti , on o escr p Muiyl.Family Building: (Yes I Construction Cost: C014TRACT©R Name: incense #: Address: k State: Z'ip: City: Contact Person: KQi? Phone: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 _Cateoo__ rrv 1 Minnesota Rut 7 7 Energy Code • Residential ventilation, Category t Worksheet • New Energy Code Worksheet Category egory Sn Submitted yEnvetope Calculations Submitted type) • (4 In the fast 12 months, has the City of Fagan Issued a permit for a similar plan based on a m"W Plan? „__ ,Yes __No If yes, date and address of master plan: License! Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone. t hereby aCr.r:p.:de?ge lhat this infonn,4j4n S complete and accurate; that the Work wilt be in ccnfarmWnce yyith t ie ordinances ana waw a1 UWJ kuy Ut Eagan: that I understand this s not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan u the 000 of work-which requires a review and approval of plans. x Applicant,, Printed Name Applicant's Signature Page 1of3 CityofEaau 3830 Pilot Knob Road DaW Eagan MN 56122 Received. Phone: (651) 675-W5 t Stiff: Fax: (651) 675.4 - .- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date• _ Site Address: su t r. RESIDENT 1 OWNER Name:; Phone: Address 1 Cily 0 dip: Applicant is: owner ,.?,. for TYPE'OF WORK Description of work: ' t?+iuiti-Famihl Httilt2rlg: (Yes./ No on cost CONTRACTOR I Name: Lnse #: dV? 9 mrled Address: m ?L1 State: is ? .. _ City: 0, Phone: 61 ° 1 + t - `?1 v Contas t Person: f?. 0 COMPLETE THIS AREA „ 1 Y IF CONSTRUCTING A NEW BUILDING Niinneso#a Rules Z W Cat ory i Minnesota Ries 7672 Energy Code • Residential Ventii ode t.C ory t Wa et • New Energy Code worksheet category Sulvd1ted : Submitte (4 submission type) • Error Envelope Ce on$ Submitted In the 40 12 months, has the City of I a n issuod a permit for a stroller plan WSW on a roaster Plan? Yes No If yes, date and address of master plan- Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Wawr Contractor: Phone: f herew acxnowieoge that trus irrforrna n is rxrrnple0e and wourw r w the work wa to!" wwrraanFe w m me oswnx -- w, YR ..u7 M Eagan; that i undestand this is not a perrmit, txt only an alicaCwn for a permit, and work is not to:start without a peanit that the work will be In accordance with the approved plan In the terse of work which regikss a review and approval. of plans. X Applicant's Printed Nance Applicants Signature Page 1 3 Use BLUE or BLACK Ink I For Office Use r. - I i d I j Permit I ~-7 c1~ 1 Ciq of Eatan i 'Permit Fee: I0G ✓ P-57 ~ 3830 Pilot Knob Road I Eagan MN 66122 I Date Received: Phone: (651) 676-6676 I 1 Fax: (651) 675694 I Staff; I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Addrese: )'7 ttt7 f0. ~-r • Unit ~ tC C x3 h Phone: , ...•„i;ii:+_. ri Name: VIA 63 2r 111 /.City /Zip: f-7 ~a bf`Q~~r Gi,r ~4ei J,t ;SI`` Address Iii6~!i~•d, 1'y;~ll~!~~i,lii Applicant is; Owner Contractor i u l r,!I r ill / f' S5 &AIF , „J" ' ; Q •i! 1'I'` Description of work: fC 'E' r e~3 I!r Tly -70 Multi-Family Building: (Yes / No ) Construction Cost 1 Contact: 1M \t-L e- Corvr~ 1 C Company ' i 7 1.1 s~ g Address: \zS Crty:~ State: 1Mt.1 Zi O Phone: (ol t 4TO' B? Ci'7 i;lilal U p: J',(I J`iLicense ~C ~ Lead Certificate 0: I~JA TVZ'J If the project is exempt from lead certification, please explain why: (see Page 3.for additional information) Yes COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING in the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor. Phone: Sewer & Water Contractor: Phone: aa° - t ' , J J . `li, .lul ~ . ! r !i y p, + { T(, , , cJ , e I ~t`• ;,,I~ '~~,~I,r ,~i- ~ •,G I~,,,./~.,(y¢py~.~! 1r~6 JP, .All ' ' 1 ,J l: yy II. , Wf, 111t t( , f"u 'i~l_61r..a..•. '1..JI ,J+,,(i„ : Ir ~~p.'L:'~ 'n; r. r ; a; ; i ; ! r'4 I I 1•' I r.I L' ~ ri ::f' :,.1. dp J,1' I MY., t /rl,i a, il•( ' ,:;.JI, ii ; rI', •`~J., i '10, CALL BEFORE YOU DIG. Call GopherState One Call at (661) 434-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to reoelve locates of underground utilities. www,oobherstateonewfl.oro I hereby acknowledge that this information is complete and accurate; that the work will be in conformance wnh the ordinances and codes of the City of Eagan; that I understand this Is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be In accordance with the approved plan in the case of work which requires a review and, approval of plans- Exterior work authorized by a building permit issued Ip accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance- x IMtC1.Ae(~~~►.\ X Applicants Printed Name Applicants Signature Page t of 8 b0/Z8 39Cd 31X3 wasn0 S113NNOD T06Z8EbT59 9112:5t ETOZ/60/60